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Dr. Peter Attia

👤 Speaker
11186 total appearances

Appearances Over Time

Podcast Appearances

The Peter Attia Drive
#348 ‒ Women’s sexual health, menopause, and hormone replacement therapy (HRT) | Rachel Rubin, M.D.

Now, let's talk about the flip side, because the unfortunate nature of everything we've just described is you create a fringe movement. And unfortunately, I've seen a lot of dock on a box hormone practices that are, I believe, putting women at risk and I believe are doing bad things to women in the name of doing good. And I don't believe that these are inherently bad individuals.

The Peter Attia Drive
#348 ‒ Women’s sexual health, menopause, and hormone replacement therapy (HRT) | Rachel Rubin, M.D.

Now, let's talk about the flip side, because the unfortunate nature of everything we've just described is you create a fringe movement. And unfortunately, I've seen a lot of dock on a box hormone practices that are, I believe, putting women at risk and I believe are doing bad things to women in the name of doing good. And I don't believe that these are inherently bad individuals.

The Peter Attia Drive
#348 ‒ Women’s sexual health, menopause, and hormone replacement therapy (HRT) | Rachel Rubin, M.D.

I think they're ill-informed. I think they're just not that bright. And maybe some of them are just actually charlatans and they're seeing an enormous opportunity here. As a general rule, I tell patients be very, very suspicious of a doctor that is selling you hormones. Be incredibly suspicious of any physician

The Peter Attia Drive
#348 ‒ Women’s sexual health, menopause, and hormone replacement therapy (HRT) | Rachel Rubin, M.D.

I think they're ill-informed. I think they're just not that bright. And maybe some of them are just actually charlatans and they're seeing an enormous opportunity here. As a general rule, I tell patients be very, very suspicious of a doctor that is selling you hormones. Be incredibly suspicious of any physician

The Peter Attia Drive
#348 ‒ Women’s sexual health, menopause, and hormone replacement therapy (HRT) | Rachel Rubin, M.D.

who has their own compounding pharmacy within the practice and is giving you compounded formulations and also making money on it. Talk a little bit about, I don't want to call it the dark side, but just the fringe side of this world.

The Peter Attia Drive
#348 ‒ Women’s sexual health, menopause, and hormone replacement therapy (HRT) | Rachel Rubin, M.D.

who has their own compounding pharmacy within the practice and is giving you compounded formulations and also making money on it. Talk a little bit about, I don't want to call it the dark side, but just the fringe side of this world.

The Peter Attia Drive
#348 ‒ Women’s sexual health, menopause, and hormone replacement therapy (HRT) | Rachel Rubin, M.D.

Yeah, the number of online testosterone clinics is mind-boggling. And a lot of them are prescribing, I think, second-tier drugs.

The Peter Attia Drive
#348 ‒ Women’s sexual health, menopause, and hormone replacement therapy (HRT) | Rachel Rubin, M.D.

Yeah, the number of online testosterone clinics is mind-boggling. And a lot of them are prescribing, I think, second-tier drugs.

The Peter Attia Drive
#348 ‒ Women’s sexual health, menopause, and hormone replacement therapy (HRT) | Rachel Rubin, M.D.

4% of women who would theoretically be required.

The Peter Attia Drive
#348 ‒ Women’s sexual health, menopause, and hormone replacement therapy (HRT) | Rachel Rubin, M.D.

4% of women who would theoretically be required.

The Peter Attia Drive
#348 ‒ Women’s sexual health, menopause, and hormone replacement therapy (HRT) | Rachel Rubin, M.D.

That's worse than I would have guessed.

The Peter Attia Drive
#348 ‒ Women’s sexual health, menopause, and hormone replacement therapy (HRT) | Rachel Rubin, M.D.

That's worse than I would have guessed.

The Peter Attia Drive
#348 ‒ Women’s sexual health, menopause, and hormone replacement therapy (HRT) | Rachel Rubin, M.D.

Every doctor who sees a woman of that age.

The Peter Attia Drive
#348 ‒ Women’s sexual health, menopause, and hormone replacement therapy (HRT) | Rachel Rubin, M.D.

Every doctor who sees a woman of that age.

The Peter Attia Drive
#348 ‒ Women’s sexual health, menopause, and hormone replacement therapy (HRT) | Rachel Rubin, M.D.

Yeah. Let's talk a little bit about the playbook. I want to tell you how we do it. I'm not saying we do it right because I don't think there's a right way to do it, but I mostly want to hear how you do it because I bet you're way better than we are. Maybe we take a step back and explain. We've already alluded to it twice, but I just want to make sure people are understanding this.

The Peter Attia Drive
#348 ‒ Women’s sexual health, menopause, and hormone replacement therapy (HRT) | Rachel Rubin, M.D.

Yeah. Let's talk a little bit about the playbook. I want to tell you how we do it. I'm not saying we do it right because I don't think there's a right way to do it, but I mostly want to hear how you do it because I bet you're way better than we are. Maybe we take a step back and explain. We've already alluded to it twice, but I just want to make sure people are understanding this.

The Peter Attia Drive
#348 ‒ Women’s sexual health, menopause, and hormone replacement therapy (HRT) | Rachel Rubin, M.D.

If a woman has a uterus, you have to protect that endometrial lining. Even if she's in the camp of women who don't notice being on progesterone, you have to be on progesterone. We'll come back to IUDs and progesterone-coded devices and things like that. Let's just talk about the way you get progesterone. Progesterone is the easiest of the lot.

The Peter Attia Drive
#348 ‒ Women’s sexual health, menopause, and hormone replacement therapy (HRT) | Rachel Rubin, M.D.

If a woman has a uterus, you have to protect that endometrial lining. Even if she's in the camp of women who don't notice being on progesterone, you have to be on progesterone. We'll come back to IUDs and progesterone-coded devices and things like that. Let's just talk about the way you get progesterone. Progesterone is the easiest of the lot.

The Peter Attia Drive
#348 ‒ Women’s sexual health, menopause, and hormone replacement therapy (HRT) | Rachel Rubin, M.D.

Is there any reason when giving oral progesterone to use anything other than micronized FDA approved progesterone orally?

The Peter Attia Drive
#348 ‒ Women’s sexual health, menopause, and hormone replacement therapy (HRT) | Rachel Rubin, M.D.

Is there any reason when giving oral progesterone to use anything other than micronized FDA approved progesterone orally?